Laserfiche WebLink
r 210 e t Sana Bank Roy�2$1 •Phon~ U6�W�� <br /> PO Box 230 (618) 281- Fax COC Serial No. 4r <br /> Columbia, IL 62236-0230 (618) 281-8933 Bulletin Board 7585 <br /> Pro ect Name .�-f� raze K S Proect M ir �� Analyses by Method Name and Number 1 , <br /> Project Number Phase•Task mperaiure p n, <br /> Sam lest�� �`7i li.J c/ Matrixc Vtj <br /> Q uRecai3pt= <br /> +- <br /> a J <br /> Laboratory Name — ` m � a 3C 4 <br /> Location 1V <br /> Sample Number and(depth) Date Time v Comments Field PID Lab ID#'s <br /> 2 ✓ z .4. i , <br /> z:5I zt� , <br /> ap <br /> 'T'- 13 00 ,✓ ~� <br /> /r D Qa Z AZ ✓ ✓ c./ , � y � F <br /> r <br /> `G Y <br /> SiYF Y� <br /> �4 <br /> 77 <br /> d <br /> ✓� f� �� mid <br /> " tea 3ar ; <br /> Samples Iced ❑Yes ❑No Lab Directives <br /> Preservatives (ONLY for Water Samples) Requested TAT ❑ 1-3 Days 0 5 Days ❑ 10 Days ❑ Other <br /> ❑ Volatile Organics Hydrochloric acid (HCI) Fax and/or Mall Results to <br /> ❑ TPH(8015) Hydrochloric acid (HCI) Send Invoice to <br /> 0 TPH(418 1) Hydrochloric acid (HCI) QC Deliverable Requested 0 Results+QC ❑ Level 3 ❑ Other <br /> ❑ Metals Nark acid (HNO3) Special Guidelines <br /> ❑ Cyanide Sodium hydroxide (NaOH) Reporting Limits <br /> ❑ Other(Specify) 'Special <br /> Shipping Relinquished by Received by- <br /> Garner/ <br /> y•Garner/Airbill No Signature Date Time Si nature Date Time <br /> 1030 ID <br /> 14 <br /> lido <br /> Dlstnbubon WHITE to Lab CANARY to PM PINK to QA/QC GREEN to sampler Shaded Areas to be Completed by Lab <br /> PE-179(3/96) <br />